The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division

EMERGENCY AMENDMENT

20 CSR 2150-7.135
Physician Assistant Supervision Agreements
The amendment changes the mileage limitation for services provided in any Missouri correction center.

PUBLIC COST:  This emergency amendment will not cost state agencies or political subdivisions more than five-hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST:  This emergency amendment will not cost private entities more than five-hundred dollars ($500) in the time the emergency is effective.
May 16, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration - Healing Arts

PROPOSED AMENDMENT

20 CSR 2250-8.070
Advertising
This amendment enacts legislative changes effective August 28, 2021 that restricts real estate advertisement by unlicensed entities and use of certain terms that leads the general public to believe the unlicensed entity is a licensed real estate firm.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
May 2, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration - Real Estate Commission

EMERGENCY AMENDMENT

20 CSR 2200-4.200
Collaborative Practice
The amendment changes the mileage limitation for services provided in any Missouri correction center.

PUBLIC COST:  This emergency amendment will not cost state agencies or political subdivisions more than five-hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST:  This emergency amendment will not cost private entities more than five-hundred dollars ($500) in the time the emergency is effective.
May 2, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration - Nursing

EMERGENCY AMENDMENT

20 CSR 2150-5.100
Collaborative Practice
The amendment changes the mileage limitation for services provided in any Missouri correction center.

PUBLIC COST:  This emergency amendment will not cost state agencies or political subdivisions more than five-hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST:  This emergency amendment will not cost private entities more than five-hundred dollars ($500) in the time the emergency is effective.
May 2, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration - Healing Arts

PROPOSED AMENDMENT

20 CSR 2085-3.010
Fees
This amendment increases the renewal fee and inactive license fees for certain licensees.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities approximately one million one hundred seventy-one thousand seven hundred fifty dollars ($1,171,750) biennially for the life of the rule.  It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
May 2, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Cosmetology / Barber

PROPOSED AMENDMENT

20 CSR 2210-2.030
License Renewal
This proposal adds additional providers to the list of board approved continuing education providers.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.
April 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Optometry

PROPOSED AMENDMENT

20 CSR 2110-2.120
Dental Assistants
This amendment updates terminology and clarifies and increases the duties that can be delegated to an Expanded Function Dental Assistant (EFDA).

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.
April 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Dental

PROPOSED AMENDMENT

20 CSR 2220-2.200
Sterile Compounding
This amendment allows pharmacies to accept aseptic technique skill assessment results for compounding staff from another pharmacy during an emergency.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

EMERGENCY AMENDMENT

20 CSR 2220-2.200
Sterile Compounding
This emergency amendment allows pharmacies to accept aseptic technique skill assessment results for compounding staff from another pharmacy during an emergency.

PUBLIC COST:  This emergency amendment will not cost state agencies or political subdivisions more than five-hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST:  This emergency amendment will not cost private entities more than five-hundred dollars ($500) in the time the emergency is effective.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED AMENDMENT

20 CSR 2220-2.011
Electronic Final Product Verification (Pharmacists)
This rule establishes requirements for electronic final product verification by a pharmacist using qualifying technology.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED AMENDMENT

20 CSR 2220-2.012
Technology Assisted Prescription/Medication Order Verification (Intern Pharmacists and Pharmacy Technicians)
This rule establishes requirements for pharmacy technicians/intern pharmacists performing technology assisted prescription/medication order verification under the supervision of a pharmacist.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED AMENDMENT

20 CSR 2200-8.001
Definitions
This amendment adds and amends definitions to keep language within the Minimum Standards for Programs of Professional Nursing internally congruent.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.010
Approval
This amendment shortens/simplifies the approval process for establishment of new nursing programs.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.030
Change of Sponsorship
This amendment aligns rule numbers to reflect changes made under section 20 CSR 2200-3.010.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.035
Multiple Campuses
This amendment clarifies procedures for multiple campuses, nursing programs under the same sponsoring institution and programs with satellite locations.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.040
Program Changes Requiring Board Approval, Notification, or Both
This amendment defines major program expansion and provides existing nursing programs with notification of such major expansions.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.060
Administrator/Faculty
This amendment redefines academic, experiential and nurse licensure requirements for nursing faculty.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.070
Physical Facilities and Instructional Resources
This amendment adds student orientation requirements related to library and technology resources.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.080
Clinical Experiences
This amendment defines the amount of clinical time allocated to clinical simulation.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.085
Preceptors
This amendment clarifies utilization of clinical preceptors.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.100
Educational Program
This amendment aligns clinical simulation and distance education with the nursing curriculum.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.120
Publications
This amendment clarifies publications that nursing programs must provide to applicants and students.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.130
Program Evaluation
This amendment clarifies nursing program evaluation processes.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.180
Licensure Examination Performance
This amendment clarifies the impact of licensure examination pass rates on program approval.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.001
Definitions
This amendment adds and amends definitions to keep language within the Minimum Standards for Programs of Professional Nursing internally congruent.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.010
Approval
This amendment shortens/simplifies the approval process for establishment of new nursing programs.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.030
Change of Sponsorship
This amendment aligns rule numbers to reflect changes made under section 20 CSR 2200-3.010.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.035
Multiple Campuses
This amendment clarifies procedures for multiple campuses, nursing programs under the same sponsoring institution and programs with satellite locations.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.040
Program Changes Requiring Board Approval, Notification, or Both
This amendment defines major program expansion and provides existing nursing programs with notification of such major expansions.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.060
Administrator/Faculty
This amendment redefines academic, experiential and nurse licensure requirements for nursing faculty.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.070
Physical Facilities and Instructional Resources
This amendment adds student orientation requirements related to library and technology resources.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.080
Clinical Experiences
This amendment defines the amount of clinical time allocated to clinical simulation.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.085
Preceptors
This amendment clarifies utilization of clinical preceptors.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.100
Educational Program
This amendment aligns clinical simulation and distance education with the nursing curriculum.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.120
Publications
This amendment clarifies publications that nursing programs must provide to applicants and students.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.130
Program Evaluation
This amendment clarifies nursing program evaluation processes.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.180
Licensure Examination Performance
This amendment clarifies the impact of licensure examination pass rates on program approval.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.001
Definitions
This amendment adds and amends definitions to keep language within the Minimum Standards for Programs of Professional Nursing internally congruent.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.010
Approval
This amendment shortens/simplifies the approval process for establishment of new nursing programs.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.030
Change of Sponsorship
This amendment aligns rule numbers to reflect changes made under section 20 CSR 2200-2.010.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.035
Multiple Campuses
This amendment clarifies procedures for multiple campuses, nursing programs under the same sponsoring institution and programs with satellite locations.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.040
Program Changes Requiring Board Approval, Notification, or Both
This amendment defines major program expansion and provides existing nursing programs with notification of such major expansions.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.060
Administrator/Faculty
This amendment redefines academic, experiential and nurse licensure requirements for nursing faculty.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.070
Physical Facilities and Instructional Resources
This amendment adds student orientation requirements related to library and technology resources.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.080
Clinical Experiences
This amendment defines the amount of clinical time allocated to clinical simulation.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.085
Preceptors
This amendment clarifies utilization of clinical preceptors.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.100
Educational Program
This amendment aligns clinical simulation and distance education with the nursing curriculum.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.120
Publications
This amendment clarifies publications that nursing programs must provide to applicants and students.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.130
Program Evaluation
This amendment clarifies nursing program evaluation processes.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-2.180
Licensure Examination Performance
This amendment clarifies the impact of licensure examination pass rates on program approval.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 15, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2010-5.070
Peer Review Standards
This amendment updates the publication date of professional standards and eliminates redundant language.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 1, 2022

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED AMENDMENT

20 CSR 2010-5.080
Firms Subject to Peer Review Requirements
This amendment clarifies peer review requirements and eliminates redundant language that appears in another rule.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 1, 2022

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED RESCISSION

20 CSR 2010-5.090
Peer Review Requirements for Renewal of a Firm Permit
The rule is being rescinded to eliminate redundancy of peer review requirements with other rules in the chapter.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 1, 2022

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED AMENDMENT

20 CSR 2010-5.100
Administration
This amendment clarifies peer review requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 1, 2022

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED AMENDMENT

20 CSR 2010-5.110
Oversight
This amendment eliminates redundant and unnecessary language.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 1, 2022

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED AMENDMENT

20 CSR 2110-4.020
Moderate Sedation
This proposed change simplifies the process for renewing a moderate sedation permit

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 1, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Dental

PROPOSED AMENDMENT

20 CSR 2110-2.240
Continuing Dental Education
This proposal adds additional providers to the list of board approved continuing education providers

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 1, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Dental

PROPOSED AMENDMENT

20 CSR 2230-2.030
Biennial License Renewal
This amendment clarifies the continuing education requirements for license renewal.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 1, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Podiatry

PROPOSED AMENDMENT

20 CSR 2263-2.030
Supervised Licensed Social Work Experience
This amendment allows the Committee for Social Workers discretion to deny supervision hours.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 1, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration - Social Workers

PROPOSED AMENDMENT

20 CSR 2263-2.050
Application for Licensure as a Social Worker
This amendment clarifies the requirement for the suicide prevention course.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 1, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration - Social Workers

EMERGENCY AMENDMENT

20 CSR 2220-2.725
Remote Data Entry
This emergency amendment removes geographic restrictions on remote data entry sites and allows Missouri licensed or registered pharmacy technicians and intern pharmacists to perform remote data entry from a site located in a U.S. state or territory.

PUBLIC COST:  This emergency amendment will not cost state agencies or political subdivisions more than five-hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST:  This emergency amendment will not cost private entities more than five-hundred dollars ($500) in the time the emergency is effective.
March 1, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED AMENDMENT

20 CSR 2220-2.010
Pharmacy Standards of Operation
This amendment updates standards of operation requirements for all pharmacies permitted by the Board.

PUBLIC COST:  This proposed amendment will result in a fiscal impact to the Board of Pharmacy of three thousand seven hundred fifty-five dollars ($ 3,755) during the first year of implementation ($1,200 revenue increase/$2,555 revenue expenditure), three hundred six dollars and twenty-five cents ($306.25) annually for the life of the rule, and eight hundred dollars ($ 800) biennially for the life of the rule.

PRIVATE COST:  This proposed amendment will cost private entities approximately two hundred seventy-eight thousand and nineteen dollars and thirty cents ($278,019.30) during the first year of implementation, two hundred twenty-five thousand, six hundred eighty dollars ($225,680) annually over the life of the rule, and eight hundred dollars ($800) biennially for the life of the rule.  Costs may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
March 1, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED AMENDMENT

20 CSR 2220-2.090
Pharmacist-in-Charge
This amendment updates compliance requirements and responsibilities for the designated pharmacist-in-charge of a board licensed pharmacy.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will cost private entities approximately one hundred fifteen thousand, four-hundred and six dollars and twenty cents ($115,406.20) during the first year of rule implementation, and fifteen thousand four-hundred and seventy dollars ($15,470) annually over the life of the rule.  Costs may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
March 1, 2022

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Accountancy

PROPOSED AMENDMENT

20 CSR 2030-16.020
Definitions
This rule is being amended to more clearly define an original survey.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

February 15, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – APEPLSPLA

PROPOSED AMENDMENT

20 CSR 2030-16.030
General Land Surveying Requirements

This rule is being amended to correct a typo in paragraph (2)(A) and to add clarification regarding the establishment of permanent monuments in paragraph (3)(C).

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

February 15, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – APEPLSPLA

PROPOSED AMENDMENT

20 CSR 2030-19.010 Surveyor’s Real Property Report

Reference to the Minimum Standards in section (3) should have been changed to the Missouri Standards when that revision was made to all other rules in Chapter 16 back in 2017.  Due to this oversight, this rule is being amended merely for housekeeping purposes. 

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

February 15, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – APEPLSPLA

PROPOSED AMENDMENT

20 CSR 2030-19.020
Required Work Order Form

The National Society of Professional Surveyors (NSPS) is the legal successor organization to the American Congress on Surveying and Mapping (ACSM).  Therefore, the reference to ALTA/ACSM Land Title Survey has been revised to read ALTA/NSPS Land Title Survey.  This rule is being amended merely for housekeeping purposes.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

February 15, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – APEPLSPLA

PROPOSED AMENDMENT

20 CSR 2030-20.010 Definitions

This rule is being amended for the sole purpose of correcting a typo in section (3).

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

February 15, 2022

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – APEPLSPLA

PROPOSED AMENDMENT

20 CSR 2245-3.020 Certification and Licensure Examinations
The amendment removes the waiting period to take the examination after failing the exam for the third time.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

February 1, 2022 Missouri Register

This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Appraisers

PROPOSED RESCISSION

20 CSR 2270-2.072 Temporary Courtesy License
This rule is being rescinded due to the repeal of section 324.008, RSMo.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

January 18, 2022 Missouri Register

This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Veterinary

PROPOSED RULE

20 CSR 2231-3.020 Pre-licensure Criminal History Determination
This rule complies with section 324.012.7, RSMo, and details the process for an individual to request a pre-licensure determination of their criminal record under the Fresh Start Act.  This rule also provides the requirements for a decision on a pre-licensure determination.

PUBLIC COST:  This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

January 18, 2022 Missouri Register

This proposed rule does not have an adverse impact on small businesses. Professional Registration

PROPOSED RESCISSION

20 CSR 2165-2.035 Issuance of Temporary Courtesy License to Nonresident Military Spouse
This rule is being rescinded due to the repeal of section 324.008, RSMo.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

January 18, 2022 Missouri Register

This proposed rescission does not have an adverse impact on small businesses. Professional Registration – Hearing Instrument Specialists

PROPOSED RESCISSION

20 CSR 2115-2.062 Issuance of Temporary Courtesy License to Nonresident Military Spouse
This rule is being rescinded due to the repeal of section 324.008, RSMo.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

January 18, 2022 Missouri Register

This proposed rescission does not have an adverse impact on small businesses. Professional Registration – Dietitians

PROPOSED AMENDMENT

20 CSR 2010-4.020 Qualifying Programs
This amendment clarifies certification course used towards continuing education requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

January 18, 2022 Missouri Register

This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Accountancy

PROPOSED AMENDMENT

20 CSR 2220-2.725 Remote Data Entry
This amendment removes geographic restrictions on remote data entry sites and allows Missouri licensed or registered pharmacy technicians and intern pharmacists to perform remote data entry from a site located in a U.S. state or territory.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.

December 15, 2021 Missouri Register

This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2150-7.100 Applicants for Licensure
This amendment updates terminology and accrediting bodies for program completion.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

December 15, 2021 Missouri Register

This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Healing Arts

PROPOSED AMENDMENT

20 CSR 2150-7.122 [Supervision] Collaborative Practice Arrangements, Name and Address Change Requirements, Retirement Affidavits
This rule is being amended to change terminology consistent with the passage of SB514 (2019).

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

December 15, 2021 Missouri Register

This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Healing Arts

PROPOSED AMENDMENT

20 CSR 2150-7.125 Late Registration and Reinstatement Applicants
This amendment updates disclosure requirements to any impairment to practice.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

December 15, 2021 Missouri Register

This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Healing Arts

PROPOSED AMENDMENT

20 CSR 2150-7.130 Applicants for Certificate of Controlled Substance Prescriptive Authority
This amendment updates certificate of controlled substance prescriptive authority.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

December 15, 2021 Missouri Register

This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Healing Arts

PROPOSED AMENDMENT

20 CSR 2150-7.135 Physician Assistant [Supervision Agreements] Collaborative Practice Arrangements
The amendment updates the requirements of a collaborative practice arrangement.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

December 15, 2021 Missouri Register

This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Healing Arts

PROPOSED AMENDMENT

20 CSR 2150-7.140 Grounds for Discipline, Procedures
This amendment updates the grounds for discipline.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

December 15, 2021 Missouri Register

This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Healing Arts

PROPOSED AMENDMENT

20 CSR 2150-7.300 Applicants for Temporary Licensure
This amendment updates information on accrediting bodies for program completion.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

December 15, 2021 Missouri Register

This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Healing Arts

PROPOSED AMENDMENT

20 CSR 2150-7.320 Advisory Commission for Physician Assistants
This amendment removes language regarding the appointment of members to the advisory commission.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

December 15, 2021 Missouri Register

This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Healing Arts

PROPOSED AMENDMENT

20 CSR 2040-2.011
Licenses
This rule is being amended to increase fees for certain licensees to ensure the office has enough revenue to offset the cost of regulation.  As part of these amendments the office will set a surcharge on all tickets sold or issued to each event including complimentary tickets.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities one hundred three thousand fifty-nine dollars ($103,059) beginning in FY23 and annually thereafter and four thousand two hundred fifty dollars ($4,250) and biennially thereafter for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

Link to Missouri Register

This proposed amendment does not have an adverse impact on small business. Professional Registration – Athletics

20 CSR 500-1.100
Standard Fire Policies

This proposed amendment implements changes required as a result of section 379.150, RSM0, as amended by HB 604 (2021).

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

Volume 46, Number 24
This proposed amendment does not have an adverse impact on small business. Insurance

20 CSR 700-1.130
Appointment and Termination of Insurance Producers

This proposed amendment corrects an incorrect statutory reference.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

Volume 46, Number 24
This proposed amendment does not have an adverse impact on small business. Insurance

20 CSR 700-3.200
Continuing Education

This proposed amendment describes how insurance producers may receive continuing education credits hours because of their active participation in a professional insurance association.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

Volume 46, Number 24
This proposed amendment does not have an adverse impact on small business. Insurance
20 CSR 200-2.100 Credit for Reinsurance

This proposed amendment is inserting a new section (7), renumbering subsequent sections, and amending sections (5), (6), and (8)-(14).  Section (7) is regarding reciprocal jurisdictions and reinsurance credit.  Additional amendments were necessary to update internal references. This amendment effectuates Section 375.246 as amend by SB 6 (2021).

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Insurance

20 CSR 200-2.900
Term and Universal Life Insurance Reserve Financing

This proposed rule sets forth rules and procedural requirements which the director deems necessary to carry out of the provisions of section 375.246, RSMo. The actions and information required by this rule are declared to be necessary and appropriate in the public interest and for the protection of ceding insurers in this state.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Insurance

20 CSR 200-11.101
Insurance Holding Company System Regulation with Reporting Forms and Instructions

This proposed amendment is adding a new section (21) dealing with the Group Capital Calculation

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Insurance
20 CSR 500-2.600 Rate Modifications [Increases]

This proposed amendment is adding a new section (1), deleting section (3), renumbering and amending the original section (1), adding a new section (3) and renumbering section (2). This amendment provides a definition for insured as used in this regulation, prohibits the increase in insurance premium due for claims in which the insured was not “at fault”, and simplifies some restrictions.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Insurance

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